PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.
KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.
- Acute Kidney Injury/chemically induced
- Administration, Intravenous
- Contrast Media/administration & dosage
- Glomerular Filtration Rate/physiology
- Injections, Intra-Arterial
- Practice Guidelines as Topic
- Risk Factors
- Acute kidney injury
- Practice guidelines as topic
- Risk factors
- Glomerular filtration rate
- Contrast media
ASJC Scopus subject areas
- Radiology, Nuclear Medicine and Imaging